NAC- EXAM Chapter 12, 29

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Question 1 of 25

1. Question
When a resident diagnosed with dementia seems more relaxed about taking a bath when a towel is placed around his or her shoulders, the nursing assistant knows that the calmness is most likely a result of…
- showing the resident that the nursing assistant really cares about him or her.
- getting the bath done quickly before he or she can become agitated.
- making the resident feel less exposed during the bath.
- keeping the resident distracted during the bath.
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Question 2 of 25

2. Question
It is true that Alzheimer disease…
- is a result of plaques and tangles found in the brain’s tissue.
- seldom gets worse the longer the person has the disease.
- results from abnormal calcium deposits in the brain.
- Has little effect on a person’s independence.
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Question 3 of 25

3. Question
A person diagnosed with dementia often refers to staffing using foul names in a very mean tone of voice. The nursing assistant AVOIDS which action when dealing with this behavior?
- walking away when the person begins using the offensive language.
- telling the person he or she is mean-spirited when using those names.
- asking to be temporarily assigned to someone else for a while.
- reminding oneself that the person cannot be held responsible for his or her behavior.
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Question 4 of 25

4. Question
When assisting a person diagnosed with dementia to dress, the nursing assistant will best minimize the person’s confusion by
- A. selecting his or her clothing for him or her.
- limiting the number of outfits he or she can choose from.
- allowing him or her to wear the same clothing every day.
- selecting clothing with big buttons and zippers.
- selecting his or her clothing for him or her.
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Question 5 of 25

5. Question
A resident diagnosed with dementia gets very agitated at the idea of having to bathe. To help make sure that bath time goes smoothly, the nursing assistant will AVOID…
- using a matter-of-fact, but upbeat tone of voice to tell the resident “its bath time.”
- allowing the resident to “wear” a towel around his or her shoulders while bathing.
- singing the resident’s favorite songs to him or her while he or she is in the bath.
- preparing the tub room for his or her bath in advance.
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Question 6 of 25

6. Question
When a resident diagnosed with dementia begins undressing in the dining room, the nursing assistant…
- gently, but firmly, redirects his or her attention by introducing another activity.
- let him or her continue since stopping him or her would result in a catastrophic reaction
- reports the behavior to the nurse since he or she may need to be restrained.
- asks the resident why he or she is undressing in the dining room.
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Question 7 of 25

7. Question
The nursing assistant is attempting to help a resident diagnosed with dementia dress for bed. When he or she begins to scream and cry and cannot be consoled, the resident is likely experiencing a…
- temper tantrum
- severe delusion
- catastrophic reaction
- psychiatric meltdown
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Question 8 of 25

8. Question
When one of the residents insists that he or she is the Secretary of Defense, the nursing assistant responds by saying…
- “It must be very stressful being the Secretary of Defense.”
- “I thought that you were a history teacher for a local high school.”
- “Let’s talk about what it was like to serve in the Army during World War II.”
- “You know you are not the Secretary of Defense.”
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Question 9 of 25

9. Question
A person with dementia may do the same thing over and over again. This behavior is referred to as…
- perseveration
- cing
- rummaging
- sun downing
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Question 10 of 25

10. Question
Facilities that care for people with dementia have outside courtyards with high fencing primarily to…
- allow the residents to walk outside while keeping them safe.
- prevent unwanted outsiders from coming in and hurting the residents.
- prevent the residents from over-exercising and hurting themselves.
- provide a restful, attractive place for the residents to walk and socialize.
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Question 11 of 25

11. Question
Dementia is a likely cause of behavior demonstrated by a resident who…
- fails to recognize the staff after being diagnosed with urinary tract infection.
- wanders the halls aimlessly after being medicated for chronic back pain.
- is usually oriented but now claims that there are mice crawling all over his or her bed.
- needs to be introduced to his or her daughter and son-in-law each time they visit him or her.
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Question 12 of 25

12. Question
Which is considered the most common type of dementia?
- Alzheimer disease
- HIV encephalopathy
- Huntington’s chorea
- Creutzfeldt-Jacob disease
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Question 13 of 25

13. Question
What changes to the brain is the primary underlying cause of Alzheimer’s disease?
- death of the brain tissue due to lack of blood flow
- viral infection of the brain tissue
- abnormal protein deposits in the brain tissue
- neurotransmitter deficiency
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Question 14 of 25

14. Question
A toddler was found face down in a pool. She appears to have been missing for ~10 minutes. Because she was deprived of oxygen for several minutes, which type of development disability may develop according to Table 29-1?
- genetic.
- congenital.
- autism.
- cerebral palsy.
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Question 15 of 25

15. Question
Which piece of legislation ensures that people who have disabilities are treated the same as those without disabilities?
- The Americans with Disabilities Act
- The Medicare Act
- The Arc of the United States Act
- The Omnibus Budget Reconciliation Act
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Question 16 of 25

16. Question
The Arc of the United States protects the rights of the…
- elderly
- children
- intellectual disabled
- disabled women
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Question 17 of 25

17. Question
Fragile X syndrome in an inherited type of intellectual disability characterized by:
- large tongue in a small mouth.
- short stature and wide, short neck.
- delayed speech and communication skills
- facial deformities.
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Question 18 of 25

18. Question
Which type of developmental disabilities causes a person to have extreme difficulty communicating and relating to other people and their surroundings?
- Down syndrome
- Fetal alcohol syndrome
- Autism
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Question 19 of 25

19. Question
People diagnosed with Down syndrome have an increased risk for…
- respiratory infections.
- muscle spasms.
- behavioral problems
- facial deformities.
- Cerebral palsy
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Question 20 of 25

20. Question
Which is an effective way to communicate with a person who has a developmental disability?
- speaking in a very loud tone of voice.
- using simple words and short phrases
- providing written instructions
- picture boards and photographs
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Question 21 of 25

21. Question
Which statement about the needs of a person with a developmental disability is true?
- a person with a developmental disability will require complete assistance with his or her activities of daily living (ADLs).
- it is not necessary to encourage independence in a person with a developmental disability, because the disability is permanent.
- care is tailored to the individual person’s needs, and these will vary depending on the severity and type of disability.
- people with developmental disabilities rarely have emotional needs, but many physical ones.
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Question 22 of 25

22. Question
The nursing assistant will immediately report to the nurse when a resident diagnosed with a developmental disability…
- eats only 60% of his or her breakfast.
- refuses to take a bath
- seems confused.
- reports being cold.
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Question 23 of 25

23. Question
How can the nursing assistant best tell if a resident with a mental disability is in pain?
- ask him or her simply, “Are you in pain?”
- check his or her vital signs for abnormal results.
- watch for changes in his or her usual behaviors.
- offer to get the nurse to give him or her pain medication.
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Question 24 of 25

24. Question
The nursing assistant will be assigned new client with a congenital abnormality called spina bifida. The nursing assistant can anticipate this client may have which type of problem requiring nursing care?
- anger and temper tantrums
- bowel and bladder control
- inappropriate speech
- seizure activity
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Question 25 of 25

25. Question
When caring for a client with developmental disability, the nursing assistant notes that the client is not acting as he or she normally does. He or she seem to be warm to the touch, refusing to get out of bed, and has not eaten either breakfast or lunch. What is the first intervention the nursing assistant should do?
- order a new tray with soup and crackers.
- take the person’s vital signs.
- remove the blanket from the bed.
- let the RN know that the resident needs to be assessed.
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NAC- EXAM Chapter 12, 29

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